Doctor Name: | PAIGE DEANICE CONNARD |
NPI Number: | 1760408181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 9359 |
Business Practice Address: | 6106 Ledgewood Ter Dublin, CA - 945688820 |
Business Phone Number: | 5103313993 |
Business Fax Number: | 9258037701 |
Mailing Address: | 6106 Ledgewood Ter, DUBLIN |
State: | CA |
Postal Code: | 945688820 |
Phone Number: | 5103313993 |
Fax Number: | 9258037701 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |